| NPI | 1730275223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S5854) |
| Additional Taxonomies | 2084N0600X (Licence: TX S5854) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2026-05-28 |